Sunday, October 10, 2010

Principles of Examination

Here's a brief notes on the aspects to look on when you are doing an assessment or examination on a patient

  • tell patient what you are doing
  • test normal ( uninvolved ) side first
  • do active movements first then passive movements, then resisted isometric movements
  • painful movements are done last
  • apply overpressure with care to test and feel
  • repeat movements or sustain certain postures or positions if history indicates
  • do resisted movements in resting position
  • with passive movements and ligamentous testing, both the degree and quality ( end feel ) of opening are important
  • with ligamentous testing, contractions must be held for 5 seconds
  • with myotome testing, contractions must be held for 5 seconds
  • warn patient of possible exacerbations
  • maintain the dignity of the patient
  • refer if necessary
below is an example on physiotherapy assessment done for patients
Physiotherapy Assess Men 1

referrence
david j.magee orthopaedic physical assessment 4th edition

No comments:

Post a Comment